REQUEST TO Perform here!

OUR ENTERTAINMENT AND BOOKING MANAGER WILL REVIEW ALL SUBMISSIONS

AND WILL CONTACT YOU IF YOU ARE A GREAT FIT

Band Name

Number of Mates

Primary Contact

First Name

Last Name

Primary Contact's Email Address

Primary Contact's Phone Number

(###)

###

####

Band Website

Any online presence applies

http://

How do you describe your music?

Are you willing to play outside?

Yes

No

Equipment needed:

Bands you prefer to play alongside:

(optional)

Rate request:

Please enter your estimated minimum payment for one full set.

$

How did you hear about us?

Have you preformed at Old Dog Tavern in the past?

YES

NO

PLEASE NOTE:

We do our best to respond to all requests in a timely fashion. We will respond if we think it will be a good fit for Old Dog Tavern’s Music Program. Please refrain from submitting multiple forms.

Thank you.